ICD-10 Coding for Elevated Iron(E83.11, E83.10, R79.0)
Complete ICD-10-CM coding and documentation guide for Elevated Iron. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Iron
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E83.11 | Hemochromatosis | Use for confirmed hereditary hemochromatosis with genetic testing and elevated iron studies. |
|
| E83.10 | Other disorders of iron metabolism | Use for iron overload due to secondary causes like chronic transfusions. |
|
| R79.0 | Abnormal findings of blood chemistry | Use for incidental findings of elevated ferritin without a specific disorder. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hereditary hemochromatosis
Essential facts and insights about Elevated Iron
Primary ICD-10-CM Codes for elevated iron
Decision Criteria
clinical Criteria
- Presence of HFE mutation and elevated iron studies
Applicable To
- Hereditary hemochromatosis
Excludes
- Iron deficiency anemia (D50.9)
Clinical Validation Requirements
- HFE mutation (C282Y/H63D)
- Ferritin >300 µg/L in males, >200 µg/L in females
- TSAT >45%
Code-Specific Risks
- Misclassification without genetic confirmation
Coding Notes
- Ensure genetic testing is documented for hereditary cases.
E83.10 - Other disorders of iron metabolism
Use for iron overload due to secondary causes like chronic transfusions.
Applicable To
- Transfusional iron overload
Excludes
- Hemochromatosis (E83.11)
Clinical Validation Requirements
- History of multiple transfusions
- Elevated ferritin and liver iron concentration
Coding Notes
Document underlying cause of iron overload.
R79.0 - Abnormal findings of blood chemistry
Use for incidental findings of elevated ferritin without a specific disorder.
Applicable To
- Incidental hyperferritinemia
Excludes
- Disorders of iron metabolism (E83.1)
Clinical Validation Requirements
- Isolated elevated ferritin without other iron overload indicators
Coding Notes
Ensure no underlying disorder is present before using.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of iron chelation therapy
Z79.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Iron to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E83.11.
Impact
Clinical: Misdiagnosis of iron overload type., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.
Mitigation Strategy
Ensure genetic testing is ordered and results documented.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E83.1 or E83.11 based on clinical findings and genetic testing.
Impact
Incorrect coding of hereditary vs. non-hereditary iron overload.
Mitigation Strategy
Ensure genetic testing is documented for hereditary cases.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Elevated Iron, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Iron
Use these documentation templates to ensure complete and accurate documentation for Elevated Iron. These templates include all required elements for proper coding and billing.
Hereditary Hemochromatosis Diagnosis
Specialty: HematologyRequired Elements
- Genetic testing results
- Ferritin and TSAT levels
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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